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Trial · Interventional

CompletedPhase 4Results postedRegistry data

A Study of ELIGARD® in Hormone-dependent Prostate Cancer Patients

Overview

Status
Completed
Phase
Phase 4
Enrollment
107 participants (actual)
Sponsor
Astellas Pharma Singapore Pte. Ltd. · Industry
Design
Allocation not applicable · Open label (no masking)
Countries
8 countries

Hong Kong, Indonesia, Malaysia, Philippines, Singapore, Taiwan, Thailand, Vietnam

Start
23 Jun 2017
Primary completion
19 Nov 2019
Completion
19 Nov 2019
First posted
27 Jan 2017 (estimated)
Last update posted
26 Nov 2024
Conditions
Prostate Cancer

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2017201820192020
  1. Ph 4

    A Study of ELIGARD® in Hormone-dependent Prostate Cancer Patients

    NCT03035032

    23 Jun 2017 to 19 Nov 2019

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The objective of this study was to evaluate the safety profile of ELIGARD® in ethnic Asian prostate cancer patients.

Interventions

  • LeuprolideDrug

Arms1

  • Experimental

    Leuprolide Acetate 22.5 milligrams (mg)

    Participants received 22.5 mg of leuprolide acetate (eligard) by subcutaneous injection at baseline, month 3, 6, 9, 12 and 15.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Number of Participants With Eligard Related Adverse Events (AE)

    Time frame · From first dose of study drug up to 18 months

    Registry description

    An AE was defined as any untoward medical occurrence in a participant administered a study drug or had undergone study procedures that did not necessarily have a causal relationship with this treatment. An AE was considered to be serious if, in the view of either the investigator or sponsor, it resulted in any of the following outcomes: resulted in death, was life-threatening, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, resulted in congenital anomaly or birth defect, required inpatient hospitalization or led to prolongation of hospitalization, other medically important events. Drug-related AEs are AEs where causal relationships were at least a reasonable possibility as determined by the investigator.

Secondary outcomes(11)
  1. Percentage of Participants With Testosterone Levels Less Than (<) 20, 20-50 and Greater Than (>) 50 Nanogram Per Deciliter (ng/dL) at Month 12

    Time frame · Month 12

    Registry description

    Testosterone level was summarized based on the percentage of participants with \< 20 ng/dL, 20 to 50 ng/dL and \> 50 ng/dL.

  2. Percentage of Participants With Testosterone Levels < 20, 20-50 and > 50 ng/dL at Month 18

    Time frame · Month 18

    Registry description

    Testosterone level was summarized based on the percentage of participants with \< 20 ng/dL, 20 to 50 ng/dL and \> 50 ng/dL.

  3. Time to PSA Progression

    Time frame · From first dose of study drug up to PSA progression (18 months)

    Registry description

    Time to PSA progression was defined as (date of ≥25 percentage (%) increase and ≥ 2 ng/mL absolute increase) - (date of first administration of ELIGARD 22.5 mg)/30, where PSA progression was defiined as 25% or greater increase and an absolute increase of 2 ng/mL, and confirmed by a second value at least 3 weeks later. Participants with more than 1 qualifying PSA progression were counted only once, and the earlier progression was accounted for time to progression analysis.

  4. Percentage of Participants With Greater Than or Equal to (≥) 30% PSA Percent Reduction From Baseline at Month 3, 6, 9, 12, 15, and 18

    Time frame · Months 3, 6, 9, 12, 15 and 18

    Registry description

    PSA percent reduction (%) = (\[PSA tested- baseline PSA\]/baseline PSA)\*100%. PSA level was summarized based on time to PSA progression and PSA percent reduction by ≥ 30% with respect to the level at baseline. Participants with more than 1 qualifying PSA progression were counted only once, and the earlier progression was accounted for time to progression analysis. PSA progression was defined as 25% or greater increase and an absolute increase of 2 nanogram per milliliter (ng/mL), and confirmed by a second value at least 3 weeks later.

  5. Percentage of Participants With ≥50% PSA Percent Reduction From Baseline at Month 3, 6, 9, 12, 15, and 18

    Time frame · Months 3, 6, 9, 12, 15 and 18

    Registry description

    PSA percent reduction (%) = (\[PSA tested- baseline PSA\]/baseline PSA)\*100%. PSA level was summarized based on time to PSA progression and PSA percent reduction by ≥ 50% with respect to the level at baseline. Participants with more than 1 qualifying PSA progression were counted only once, and the earlier progression was accounted for time to progression analysis. PSA progression was defined as 25% or greater increase and an absolute increase of 2 ng/mL, and confirmed by a second value at least 3 weeks later.

  6. Percentage of Participants With ≥90% PSA Percent Reduction From Baseline at Month 3, 6, 9, 12, 15, and 18

    Time frame · Months 3, 6, 9, 12, 15 and 18

    Registry description

    PSA percent reduction (%) = (\[PSA tested- baseline PSA\]/baseline PSA)\*100%. PSA level was summarized based on time to PSA progression and PSA percent reduction by ≥ 90%, with respect to the level at baseline. Participants with more than 1 qualifying PSA progression were counted only once, and the earlier progression was accounted for time to progression analysis. PSA progression was defined as 25% or greater increase and an absolute increase of 2 ng/mL, and confirmed by a second value at least 3 weeks later.

  7. Change From Baseline in EQ-5D-5L Health State Utility Index Score (Japan) at Months 6, 12 and 18

    Time frame · Baseline, months 6, 12 and 18

    Registry description

    EQ-5D-5L is a standardized instrument for use as a measure of health outcome and provides a simple descriptive profile and a single index value for health status. EQ-5D-5L is designed for self-completion by respondents and consists of 2 pages comprising the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension of the EQ-5D-5L has 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems) and the participant was asked to indicate his health state by ticking the box with the most appropriate statement. Index scores were generated using Japan value sets. Scores ranged from -0.111 to 1. Higher scores indicate better health state.

  8. Change From Baseline in EQ-5D-5L Health Status Utility Index Score (UK) at Months 6, 12 and 18

    Time frame · Baseline, months 6, 12 and 18

    Registry description

    EQ-5D-5L is a standardized instrument for use as a measure of health outcome and provides a simple descriptive profile and a single index value for health status. EQ-5D-5L is designed for self-completion by respondents and consists of 2 pages comprising the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension of the EQ-5D-5L has 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems) and the participant was asked to indicate his health state by ticking the box with the most appropriate statement. Index scores were generated using UK value sets. Scores ranged from -0.594 to 1. Higher scores indicate better health state.

  9. Change From Baseline in EQ-5D-5L Health Status Utility Index Score (US) at Months 6, 12 and 18

    Time frame · Baseline, months 6, 12 and 18

    Registry description

    EQ-5D-5L is a standardized instrument for use as a measure of health outcome and provides a simple descriptive profile and a single index value for health status. EQ-5D-5L is designed for self-completion by respondents and consists of 2 pages comprising the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension of the EQ-5D-5L has 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems) and the participants was asked to indicate his health state by ticking the box with the most appropriate statement. Index scores were generated using US value sets. Scores ranged from -0.109 to 1. Higher scores indicate better health state.

  10. Change From Baseline in EQ-5D02-EQ-VAS Score at Months 6, 12 and 18

    Time frame · Baseline, months 6, 12 and 18

    Registry description

    The EQ5D02-EQ-VAS is a vertical VAS with values between 0 (worst imaginable health) and 100 (best imaginable health), on which participants provide a global assessment of their health. Higher score indicate better health state.

  11. Change From Baseline in EORTC QLQ-PR25 Score at Months 6, 12 and 18

    Time frame · Baseline, months 6, 12 and 18

    Registry description

    EORTC QLQ-PR25 is a prostate cancer module for the assessment of health-related quality of life (HRQoL). EORTC QLQ-PR25 is designed for self-completion by respondents and assesses urinary symptoms, bowel symptoms, treatment-related symptoms and sexual activity and functioning. The rule of scoring for EORTC QLQ-PR25 follows instruction of EORTC QLQ-PR25 Scoring Manual 2.0. It consist of 25 questions distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Questions used 4 point scale (1 'Not at all' to 4 'Very much'). All raw domain scores are linearly transformed to a 0-100 scale, with higher scores reflecting either more symptoms (urinary, bowel, hormonal treatment-related symptoms) or higher levels of activity or functioning (sexual).

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeNumber· From first dose of study drug up to 18 months

Number of Participants With Eligard Related Adverse Events (AE)

GroupValue (Participants)
Leuprolide Acetate 22.5 mg15
Secondary and other outcome results(7)
Secondary outcomeNumber· Month 12

Percentage of Participants With Testosterone Levels Less Than (<) 20, 20-50 and Greater Than (>) 50 Nanogram Per Deciliter (ng/dL) at Month 12

GroupValue (Percentage of participants)
Leuprolide Acetate 22.5 mg51.4
Secondary outcomeNumber· Month 18

Percentage of Participants With Testosterone Levels < 20, 20-50 and > 50 ng/dL at Month 18

GroupValue (Percentage of participants)
Leuprolide Acetate 22.5 mg61.9
Secondary outcomeMedian· From first dose of study drug up to PSA progression (18 months)

Time to PSA Progression

GroupValue (Months)
Leuprolide Acetate 22.5 mg8.80
Secondary outcomeNumber· Months 3, 6, 9, 12, 15 and 18

Percentage of Participants With Greater Than or Equal to (≥) 30% PSA Percent Reduction From Baseline at Month 3, 6, 9, 12, 15, and 18

GroupValue (Percentage of participants)
Leuprolide Acetate 22.5 mg96.1
Secondary outcomeNumber· Months 3, 6, 9, 12, 15 and 18

Percentage of Participants With ≥50% PSA Percent Reduction From Baseline at Month 3, 6, 9, 12, 15, and 18

GroupValue (Percentage of participants)
Leuprolide Acetate 22.5 mg89.2
Secondary outcomeNumber· Months 3, 6, 9, 12, 15 and 18

Percentage of Participants With ≥90% PSA Percent Reduction From Baseline at Month 3, 6, 9, 12, 15, and 18

GroupValue (Percentage of participants)
Leuprolide Acetate 22.5 mg69.6
Secondary outcomeMean· Baseline, months 6, 12 and 18

Change From Baseline in EQ-5D-5L Health State Utility Index Score (Japan) at Months 6, 12 and 18

GroupValue (Score on a scale)Spread
Leuprolide Acetate 22.5 mg-0.00470.16874

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Leuprolide Acetate 22.5 mgParticipants received 22.5 mg of leuprolide acetate (eligard) by subcutaneous injection at baseline, month 3, 6, 9, 12 and 15.9 / 10631 / 10642 / 106

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies1

Studies that cite this trial.

More studies

1 study on this page

PubMed tag: none · 2022

ELIGANT: a Phase 4, interventional, safety study of leuprorelin acetate (ELIGARD®) in Asian men with prostate cancer.

Malek et al. 2022Translational andrology and urologycited by 4

PMID 35280654PMC8899139DOI 10.21037/tau-21-723PUB-35280654

Free to read · publisher termsCC BY-NC-ND
Read at source

Eligibility

Who could join, as posted.

Sex
Male
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * A patient for whom the physician has decided to initiate treatment with a Luteinizing Hormone Releasing Hormone (LHRH) agonist in standard clinical practice * Biopsy-proven prostate adenocarcinoma * Locally advanced prostate cancer with biochemical relapse radical prostatectomy and/or radiotherapy, OR hormonal treatment-naive advanced or metastatic prostate cancer patient who has not received chemotherapy and has no plans to undergo treatment with chemotherapy at study entry. * Patient who indicates that once the study is completed, he expects having access to androgen deprivation therapy (ADT), either medical or surgical, within the local healthcare system (either through public/ private health insurance or out of pocket payment). Exclusion Criteria: * Patient with castrate resistant prostate cancer * Patient who previously underwent bilateral orchiectomy * Patient who has received prior treatment with LHRH analogues * Prior or concomitant treatment with systemic chemotherapy. A patient where there is a likelihood to receive systemic chemotherapy should not be enrolled * Life expectancy of \< 1 year due to comorbidities * Participation in another interventional clinical trial within one month prior to study entry or during the duration of the study * Patient who plans to receive intermittent ADT at the time of study entry * Patient receiving non-palliative radiotherapy within 3 months prior to study entry * Patient receiving adjuvant ADT in combination with definitive radiotherapy * Patient with metastatic hormonal treatment-naive prostate cancer, for whom chemo-hormonal treatment (combination of Docetaxel and ADT) is indicated. * Patient with hypersensitivity to gonadotropin releasing hormone (GnRH), GnRH agonist analogs or any of the components of ELIGARD® * Patient with any contraindication for ELIGARD® use based on local prescribing information

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